How much rates vary
Facilitymedian $646 · 10th to 90th $219 to $2,188Professionalmedian $513 · 10th to 90th $282 to $955
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $218.78 Median $302.00 Typical High $302.00 | Facility | None | $218.78 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $281.84 Typical High $302.00 | Professional | None | $218.78 | $281.84 | $302.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $724.44 Median $1,778.28 Typical High $4,073.80 | Facility | None | $724.44 | $1,778.28 | $4,073.80 |
BCBS Minnesota Setting Professional Modifier None Typical Low $302.00 Median $524.81 Typical High $851.14 | Professional | None | $302.00 | $524.81 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $1,380.38 | Facility | None | $467.74 | $724.44 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $602.56 Typical High $1,047.13 | Professional | None | $346.74 | $602.56 | $1,047.13 |
Health Partners Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $1,174.90 | Facility | None | $416.87 | $691.83 | $1,174.90 |
Health Partners Setting Professional Modifier None Typical Low $338.84 Median $575.44 Typical High $977.24 | Professional | None | $338.84 | $575.44 | $977.24 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $676.08 Typical High $2,089.30 | Facility | None | $363.08 | $676.08 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $575.44 Typical High $2,041.74 | Professional | None | $323.59 | $575.44 | $2,041.74 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $3,162.28 | Facility | None | $549.54 | $1,000.00 | $3,162.28 |
United Setting Professional Modifier None Typical Low $263.03 Median $436.52 Typical High $912.01 | Professional | None | $263.03 | $436.52 | $912.01 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $109.65 Median $151.36 Typical High $151.36 | Facility | 52 · Reduced service | $109.65 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $60.26 Typical High $60.26 | Facility | 53 · Discontinued | $43.65 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $165.96 Median $223.87 Typical High $223.87 | Facility | 54 · Surgery only | $165.96 | $223.87 | $223.87 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $33.11 Median $44.67 Typical High $44.67 | Facility | 55 · Aftercare only | $33.11 | $44.67 | $44.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.88 Median $30.20 Typical High $30.20 | Facility | 56 · Pre-op care only | $21.88 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $141.25 Typical High $151.36 | Professional | 52 · Reduced service | $109.65 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $57.54 Typical High $60.26 | Professional | 53 · Discontinued | $43.65 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $213.80 Typical High $223.87 | Professional | 54 · Surgery only | $165.96 | $213.80 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $42.66 Typical High $44.67 | Professional | 55 · Aftercare only | $33.11 | $42.66 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $28.84 Typical High $30.20 | Professional | 56 · Pre-op care only | $21.88 | $28.84 | $30.20 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 5th of 51
$513
AK $832FL $234
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.